{
  "npi": "1205984010",
  "enumeration_type": "NPI-1",
  "basic": {
    "credential": "MSN, RN, PHN",
    "enumeration_date": "2007-01-08",
    "first_name": "DIERDRE",
    "last_name": "GILLIAM",
    "last_updated": "2025-09-11",
    "middle_name": "A",
    "name_prefix": "--",
    "name_suffix": "--",
    "sex": "F",
    "sole_proprietor": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "8425 FERNANDO WAY",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "ELVERTA",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "530-666-7447",
      "postal_code": "956269542",
      "state": "CA",
      "telephone_number": "916-991-5875"
    },
    {
      "address_1": "137 N COTTONWOOD ST",
      "address_2": "STE 2400",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "WOODLAND",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "530-666-7447",
      "postal_code": "95695",
      "state": "CA",
      "telephone_number": "530-666-8558"
    }
  ],
  "taxonomies": [
    {
      "code": "163WA2000X",
      "desc": "Registered Nurse, Administrator",
      "license": "607502",
      "primary": false,
      "state": "CA",
      "taxonomy_group": ""
    },
    {
      "code": "163WC1500X",
      "desc": "Registered Nurse, Community Health",
      "license": "607502",
      "primary": false,
      "state": "CA",
      "taxonomy_group": ""
    }
  ],
  "compliance": {
    "oig_leie_exclusion": {
      "excluded": false,
      "status": "CLEAR",
      "matches": [],
      "totalDbRecords": 84224
    },
    "cms_pecos_eligibility": {
      "note": "Not listed in CMS Order & Referring PECOS file or institutional NPI-2"
    }
  },
  "medicare_utilization": null,
  "enrichment": {
    "plain_english_specialty": "Licensed & Credentialed Registered Nurse, Administrator",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": []
  }
}